MOZAMBIQUE Humanitarian Situation Report No. 2 Situation in Numbers Beni Ali, mother of 2 children receiving mosquito net at the Nagua Reception Center, Metuge, in Cabo Delgado © UNICEF/UN0364846/Franco 363,120 Reporting Period: November 2020 children in need of Highlights Insecurity situation in Cabo Delgado prevails and led to displacement of 712,000 over 500,000 people of which over 90% living in host families and people in need nearly half of IDPs are children; (OCHA 2020) UNICEF has supported the screening of 38,544 children 6-59 months, and 582 cases of SAM were identified and referred for treatment; > 500,000 During November, 13,000 children were vaccinated against measles through Integrated Mobile brigades supported by UNICEF; bringing the Internally displaced people cumulative total of children vaccinated against measles to 73, 391 (IDPs) (since May) UNICEF completed drilling of 14 new boreholes and together with other 2,370 water supply initiatives enabled access to safe water to about 10,000 Reported fatalities people 9,239 children affected by the conflict received psychosocial support (ACCLED, November 20) through ten (10) open air child friendly spaces established UNICEF supported the promotion of life saving messages, safe practices on hygiene, health, Nutrition, Child protection and its adoption reaching 233,716 people including children, adolescents and women; UNICEF’s Response and Funding Status UNICEF Appeal 2020 US$ 11 million Acute malnutrition & Vitamin A 110% Funding status 13% Funding Status (in US$) Measles vaccination 82% Funding status 109% Safe water access 156% Funding status 105% Funding gap PSS access 103% 4.6M Funding status 79% Funds received Education access 8% 6.5M Funding status 28% HH received cash transfer 14% Funding status 7% Life saving messages 137% Funding status 39% 0% 20% 40% 60% 80% 100% * Table footnotes: Funding status is only measures ORE received against 2020 HAC requirements. For some sectors, regular resources were used to achieve results as per the 2020 HAC targets for Cabo Delgado. Some sectors have received multi-year funding for interventions that will carry over into 2021. 1 Funding Overview and Partnerships For 2020, UNICEF has been appealing for US$ 11.1M to sustain provision of life-saving services for women and children in northern Mozambique affected by the ongoing conflict. As of 30 November 2020, Central Emergency Response Fund (CERF), ECHO, FCDO, USAID and Thematic allocation from Headquarters have generously contributed a total of US$ 6.5 million to UNICEF Mozambique humanitarian response in Cabo Delgado. UNICEF HQ allocated $2.5 million (from its Emergency Programme Fund (EPF) to support the scale up of the response which $500,000 is assigned for PSEA). However, the 2020 HAC still has a funding gap of 41% and without sufficient funding over 100,000 people will not have access to safe water, adequate sanitation, and over 33,000 children will not have access to education, 27,000 pregnant and lactating women will not benefit from IYCF messages. These gaps are significant heading into 2021, where the HAC 2021 for Mozambique will require $52.8 M USD for the entire country, of which over $ 30M USD is for the Cabo Delgado Emergency. Situation Overview & Humanitarian Needs The month of November was described with the month of November, insecurity remained prevalent in some districts of Cabo Delgado province, with some population movement triggered by insecurity and restricted access to northern districts. According to ACLED, during November 2020 over 201 violence events occurred and about 872 fatalities from these events were reported. Given the prevailing complex, volatile and unpredictable situation in Cabo Delgado, on 28 November, the UNICEF declared a Level 2 emergency for the Cabo Delgado crisis in Mozambique affecting Cabo Delgado and neighbouring provinces; with the level 2 designation, the crisis receives prioritized corporate-wide support for the scale-up of emergency response. From 6-15 November, there was signficant movement of people from Muidumbe (majority), Macomia and Mocimboa da Praia districts to Mueda, Montepuez and Pemba city totalizing 33,2933 people on the move during this period – nearly have of the of the reported IDPs are children; 310 children were identified as unacompanied. Main needs reported in priority order were food, shelter and non-food items (NFIs). The National Institute for Disaster Management (INGC) reported (as of 17 November) in November that due to Cabo Delgado crisis there are 554,3804 people displaced in five provinces which 515,966 are in Cabo Delgado and about 40,000 in Nampula. About 92% of the IDP population are living in host families, 45% are children, 6.6% of the IDP are living in accommodation centers and only 1.6% were already resettled mainly in Cabo Delgado and Nampula province. Government and humanitarian partners continue to provide assistance to the population displaced through basic service provision (Food, Protection, WASH, health and Nutrition) in transit and reallocation sites, distribution of supplies and community engagement. Access to northern region of Cabo Delgado especially to Mocimboa da Praia, Quissanga, Muidumbe, Palma, Ibo and Macomia districts continue to be challenging given the insecurity and physical constraints. Hopefully, access to some of this areas will be improved with scaled-up UNHAS and logistics services facilitated by WFP and Logisitic cluster. Disease outbreaks are affecting Cabo Delgado too, mainly COVID-19 and acute watery diarrhea(AWD). As of 30 November, there were 390 cumulative cases5 of AWD in four districts and death toll of 3 (case fatality rate 0.8%). UNICEF has been providing additional assistance with safe water, sanitation materials, hygiene promotion, household water treatment products, medicines and other supplies for the treatment centers. For COVID-19, the province has reported since the onset of the pandemic 975 cases of which 576 (8%) cases are currently active and death toll of 2 people (case fatality rate 0.2%). Summary Analysis of Programme Response Nutrition During November, UNICEF supported Health Provincial Directorate (DPS) in conducting district supervisions and identification of nutrition sites for implementation of integrated nutrition programs, online and in-person training and mentoring on inpatient treatment of acute malnutrition in all districts of Cabo Delgado province. 3 IOM Emergency Tracking Tool No 26: 06-15 November 2020 4 DTM Round 7 preliminary results are pending validation/release but preliminary findings indicate #IDPs are over 500K 5 Provincial health authorities data shared on 29 November 2020 6 https://covid19.ins.gov.mz/wp-content/uploads/2020/11/boletim-diario-258.pdf 2 Within the scope of partnership with Caritas, UNICEF supported active case finding and screening for possible acute malnutrition cases, that led to the screening of 3,156 children 6-59 months and identification of 42 cases of SAM and 5,576 mothers and caregivers of children 6-23 months received IYCF messages. Since the beginning of the response, the nutrition cluster has supported the screening of 42,498 children (38,544 children with UNICEF support) 6-59 months, and 624 cases (582 cases with UNICEF support) of SAM were identified and referred for treatment. A total of 65,129 caregivers received messages including IYCF counselling in the communities, 50,741 children 6-59 months were supplemented with vitamin A, and 36,339 children 12-59 months were dewormed. In addition, UNICEF supported the training of 159 community health workers (i.e. APEs) in Integrated Nutrition Program (PIN). Different equipment has been requested to respond to additional needs in the province and include portable stadiometer (25), Scale electronic (25), Scale springtype (300), inpatient kit supply/ equipment modules (10), outpatient kit equipment module (5), MUAC Child (200 PAC-50). The Nutrition cluster coordination meetings continue to take place every 2 weeks (bi-monthly), with latest discussions on prepositioning of materials to respond to the latest influx of IDPs arriving specially to Montepuez and capacity of partners to scale up in Montepuez and Meluco. Nutrition cluster partners have been also participating in different rapid needs assessments in Ancuabe, Palma, Montepuez and Meluco. Health UNICEF has proceeded, during November 2020, with the support on the implementation of Cabo Delgado Rapid Response plan through strengthening of health system and capacity, participation in multi-sectoral rapid assessments in districts with influx of IDPs to identify immediate health care needs of IDPs and host populations. During the month of November, through UNICEF support for Integrated Mobile Brigades (IMB) 1,651 children under 5 years received consultation, 5,292 children received DTP3, 13,001 children were vaccinated against measles, and 461 pregnant HIV positive (HIV+) women received ART in Balama, Namuno, Chiure, Montepuez, Mecufi, Metuge, Meluco, Ancuabe, Ibo. Since the beginning of the response (May 2020), a cumulative total of 8,497 children under 5 years received consultations, 29,668 children received DTP3; 73,391 children vaccinated against measles, and 1,066 pregnant HIV+ women received ART. In order to improve the health of women and children, UNICEF supported the training on integrated management of newborn and child illness (IMNCI) for 18 district health professionals. In November, an assessment was conducted to verify the continuity of the provision of services by the community